Hansen, Luke Robert

Hansen, Luke Robert is an individual health care provider with primary practice located at 9 N 4Th Ave , Marshalltown IA 50158-1836. He recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as his primary health care specialty. Hansen, Luke Robert can be contacted via phone (641) 752-1585.

Contact Information

Primary practice address
9 N 4Th Ave Marshalltown IA 50158-1836
Phone: (641) 752-1585
Fax: (641) 752-9665
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 00939 Iowa

Profile Details

NPI number 1114991965
LBN Legal business name Hansen, Luke Robert
Credentials PSY,D
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Oct 10th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114991965 NPPES
Iowa Other 05823 MEDICARE
Iowa Other 321119 MEDICARE
Iowa Other 05823 MEDICARE
Iowa Other 240194 MEDICARE
Iowa Other IA0137 MEDICARE
Iowa Other 080381 MEDICARE
Iowa MEDICAID 0058230 MEDICARE

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